Level 6, Tower 4, World Trade Centre18-38 Siddeley Street
MELBOURNE VIC 3005+61 3 9349 7813
IMG OBSERVERSHIP – LOGBOOK
Purpose of the logbook
The purpose of the logbook is to be used by IMG’s undergoing or participating in an observership with a registered General Practitioner Supervisor.
Level of Competency
The IMG when participating in the observership should mark each recorded entry as either;
“A” Assisted supervisor
“C” Conducted under supervision
“O” Observed
The logbook requires a minimum of 50 cases to be observed and recorded, however, it is up to the supervisor and the IMG to continue recording more cases should further learning be required.
Observation and preparing for a PESCI
Applicants are encouraged to attend an Observership to prepare for the PESCI. During the Observership, identify patient presentations and examples of good practice, record them and identify areas for further reading/study. The log becomes a guide for study. Reflection on the recorded cases should include the structure of a general practice consultation and the domains of general practice. Become familiar with the five domains of general practice
The PESCI questions are based on the five domains of general practice;
(i) Communication skills and the doctor-patient relationship(ii) Applied professional knowledge and skills (iii) Population health in general practice(iv) Ethics and professional responsibilities(v) Organisational and legal dimensions.
General practice consultations in Australia follow a structure (see below) and some or all of these areas will be relevant to the scenarios used in a PESCI interview;
(i) History taking skills – Focused and relevant(ii) Description of physical examination – Relevant to the presenting complaint and history (iii) Differential diagnoses – Relevant to the patient presentation(iv) Investigations – Appropriate for presenting compliant(v) Management – Safe and relevant practise(vi) Communication, and(vii) Professionalism - Demonstrates professional values and ethical behaviours consistent
with Good Medical Practice: A Code of Conduct for Doctors in Australia.
HWAV | 03 2018 | 16 | 017.1
Page 1 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
IMG Observer:Family name (Surname) Enter surnameGiven names Enter given name/sPhone (M) (H)
Practice details:Practice name Organisational work name
Practice location/Address Street addressStreet addressSuburb, State, Postcode
Type of Practice:☐ Aboriginal Service ☐ After-Hours Only ☐ Corporate
☒ Deputising Service ☐ Group 2-5 Doctors ☐ Group 6-10 Doctors
☒ Group >10 Doctors ☒ Solo (only one Doctor)
Principal Supervisor:Full name Position Qualifications email address
Co-Supervisor:Full name Position Qualifications email address
Learning objectives:
When completing this logbook, all learning objectives derived from an observed consultation, should be detailed at the back of this logbook. Details of the learning should include the research process for each subject, the readings, and/or courses attended either online or in person.
Page 2 of 26
Level 6, Tower 4, World Trade Centre18-38 Siddeley Street
MELBOURNE VIC 3005+61 3 9349 7813
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
1Date
Gender
Age
2Date
Gender
Age
3Date
Gender
Age
HWAV | 03 2018 | 16 | 017.1
Page 3 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
4Date
Gender
Age
5Date
Gender
Age
6Date
Gender
Age
Page 4 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
7Date
Gender
Age
8Date
Gender
Age
9Date
Gender
Age
Page 5 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
10Date
Gender
Age
11 Date
Gender
Age
12Date
Gender
Age
Page 6 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
13Date
Gender
Age
14Date
Gender
Age
15Date
Gender
Page 7 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Age
16Date
Gender
Age
17Date
Gender
Age
18Date
Gender
Page 8 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Age
19Date
Gender
Age
20Date
Gender
Age
21Date
Page 9 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Gender
Age
22Date
Gender
Age
23Date
Gender
Age
24Date
Page 10 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Gender
Age
25Date
Gender
Age
26Date
Gender
Age
27
Page 11 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Date
Gender
Age
28Date
Gender
Age
29Date
Gender
Age
Page 12 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
30Date
Gender
Age
31Date
Gender
Age
32Date
Gender
Age
Page 13 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
33Date
Gender
Age
34Date
Gender
Age
35Date
Gender
Age
Page 14 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
36Date
Gender
Age
37Date
Gender
Age
38Date
Gender
Age
Page 15 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
39Date
Gender
Age
40Date
Gender
Age
41Date
Gender
Page 16 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Age
42Date
Gender
Age
43Date
Gender
Age
44Date
Gender
Page 17 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Age
45Date
Gender
Age
46Date
Gender
Age
47Date
Page 18 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Gender
Age
48Date
Gender
Age
49Date
Gender
Age
50Date
Page 19 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
No. DateGenderAge
History, andPresenting Symptoms
Differential Diagnoses, and Diagnoses
Investigations Treatment and Management
SupervisorName, and Signature
“A” “C” “O”
Gender
Age
Page 20 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Learning objectives:
When completing this logbook all learning objectives derived from an observed consultation, should be detailed here. Include how you researched each subject, the readings, and/ or courses attended either online or in person.
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 21 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 22 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 23 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 24 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 25 of 26
Level 6, Tower 4, World Trade Centre
18-38 Siddeley StreetMELBOURNE VIC 3005
+61 3 9349 [email protected]
www.hwav.com.au
Case numbered as above 1 - 50
Enter details of learnings; including how you researched each subject, the readings, and/or courses attended either online or in person.
Page 26 of 26